, hereby gift, give, grant and assign full and complete title, interest and/or ownership in the following described dog to the Chesapeake Bay Retriever Relief & Rescue organization.

Date: August 12, 2026

Name of Dog:

Purebred CBR: , If no, what is mix?   

Age: ,  Birthdate: ,

Gender: ,  

Spayed / Neutered: 

Breeder: , Tag ID:

I / we fully understand that by executing this document and delivering the above described dog to (CBBR&R representative name) , that I relinquish any and all legal and ownership rights of the above described dog to Chesapeake Bay Retriever Relief & Rescue.

I understand this decision can not be rescinded after five (5) working days as of this date (August 12, 2026).

To rescind my decision obligates me to reimburse all boarding, grooming & veterinary expenses incurred by CBR Relief & Rescue or its representatives.

(I / we) represent that (I / we) are the lawful owner(s) of, and have good title to and the right and power to gift, sell, assign, transfer, convey and deliver said dog; and that said dog is free and clear from claims of ownership or other encumbrances of any kind or nature whatsoever by any person or entity; and that (I / we) will warrant and defend unencumbered ownership rights to said dog hereby gifted, given, and delivered against the claims and demands of all persons; and that (I / we) attest to said dog being surrendered has no known aggression or bite history.

Owners Name(s):

Current Address:

Owners Phone: , Mobile:

Owners Email: